Distribution of sexually transmitted diseases and risk factors by work locations among female sex workers in Tijuana, Mexico.

摘要: Background: Sex work is regulated in the Zona Roja (red light district) Tijuana, Mexico, where HIV and sexually transmitted disease (STD) prevalence high among female sex workers (FSWs). We examined spatial distribution of STDs by venue FSWs Tijuana. Methods: aged 18 years older who reported unprotected with ≥1 client past 2 months underwent testing for HIV, syphilis, gonorrhea, Chlamydia. HIV/STDs were mapped (i.e., bar, hotel) Getis-Ord Gi statistics used to identify geographic hotspots. High-risk venues then identified using a standardized STD ratio (high risk defined as ≥1.25). Logistic regression was assess correlates working at venue. Results: Of 474 FSWs, 176 (36.4%) had least 1 bacterial infection (STI); 36 (7.6%) HIV-positive. Within Roja, "hotspot," higher than expected number HIV/STD-positive FSW (P < 0.05) compared neighboring venues. Using definition, 11 I high-risk; these locations education, more likely report always drugs sex, having mostly US clients. They less be registered or live their Conclusions: A relatively few accounted large proportion HIV/STI burden Structural interventions that focus on could help increase STI diagnosis, prevention, treatment